Individual
LILY TOMASULA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFTC
Contact information
Practice address
1601 29TH ST UNIT 1292, BOULDER, CO 80301-1010
(303) 564-2756
Mailing address
1601 29TH ST UNIT 1292, BOULDER, CO 80301-1010
(303) 564-2756
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0014519
CO
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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